National Provider Identifier Database

JOSEPH D BONAVILLA, DDS – NPI #1205045382
Endodontics

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.


Contact Information

JOSEPH D BONAVILLA, DDS
888 COOK RD
ORANGEBURG, SC29118-2126
Phone: 803-516-0777
Fax: 803-516-0577
Website:
Specialty Taxonomy Code
* Endodontics 1223E0200X

* Indicates primary specialty

NPI Profile & details for JOSEPH D BONAVILLA

NPI Number 1205045382
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 05/22/2007
Last updated 10/09/2007 - About 19 years ago
Sole proprietor1 Yes
Identifiers
  • GA License #: DN013507
  • NY License #: 50-051910
  • SC License #: 4305
  • VA License #: 0401411675
  • WV License #: 3516
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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